Phoenix Integrative and Naturopathic Medicine Blog https://www.swintegrativemedicine.com/blog What can naturopathic medicine and acupuncture do for you health? Find out with detailed health promoting posts. en-us Thu, 24 Nov 2022 17:30:00 GMT 2022-11-24T17:30:00Z en-us The Role Of Dietary Amines On Anxiety https://www.swintegrativemedicine.com/blog/dietary-amines-and-anxiety <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/dietary-amines-and-anxiety" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/uday-mittal-bwKtz4YVtmA-unsplash.jpg" alt="The Role Of Dietary Amines On Anxiety" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Are you wondering about the impact of food on your anxiety and mood? Maybe you have heard that there's an influence of <a href="https://www.swintegrativemedicine.com/blog/3-ways-hormones-can-cause-anxiety">dietary amines on anxiety</a>. In this article we look at amines, what they are, how they can influence your mood and physiologically affect your body.&nbsp; We will discuss what amines are, some of the foods that you might find them in and the genetics involved with breaking down and eliminating dietary amines.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1920px; max-height: 1080px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p>Are you wondering about the impact of food on your anxiety and mood? Maybe you have heard that there's an influence of <a href="https://www.swintegrativemedicine.com/blog/3-ways-hormones-can-cause-anxiety">dietary amines on anxiety</a>. In this article we look at amines, what they are, how they can influence your mood and physiologically affect your body.&nbsp; We will discuss what amines are, some of the foods that you might find them in and the genetics involved with breaking down and eliminating dietary amines.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1920px; max-height: 1080px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1920" height="1080" src="https://www.youtube.com/embed/LPkMHVZ42Ao" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p></p> <h2>What Is An Amine?</h2> <p>First let's look at what actually is an amine?&nbsp; Amines are biologically active compounds that can stimulate your nervous system similar to how dopamine and adrenaline stimulate your nervous system.&nbsp; With this stimulation, they can make you feel anxious, worried and fearful.&nbsp; Whether we are talking about amines like dopamine, adrenaline (or epinephrine) or other types of amines, they are all structurally similar.&nbsp; This point on structure we will revisit further along in the article.&nbsp;</p> <p>The general purpose and way they work in your body is that they are uplifting to your mood and can help you focus.&nbsp; However, in some cases it can actually give you anxiety and sleep issues like trouble falling asleep, waking up early, or even panic.&nbsp; What they do at any given moment depends on how much of them are present and how much your body is burdened with these stimulating chemicals.&nbsp;</p> <p>&nbsp;When there are a lot of them, they are stimulating.&nbsp; You will get that sense that things are not right, you will feel on edge and anxious.&nbsp; We should also note that these molecules are not just biologically active in the psyche or in the mind.&nbsp; They also do things throughout the body.&nbsp; They have effects on your cardiovascular and can speed up your heart rate.&nbsp; The also affect your digestive system, respiratory system and many other parts of our bodies.&nbsp;<img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/uday-mittal-bwKtz4YVtmA-unsplash.jpg?width=5248&amp;name=uday-mittal-bwKtz4YVtmA-unsplash.jpg" alt="uday-mittal-bwKtz4YVtmA-unsplash" width="5248" style="width: 5248px;"></p> <p>Other than the neurotransmitters noted above, there are specific groups of molecules referred to as amines.&nbsp; For the purpose of this article we will focus on the ones produced or found in food.&nbsp; Collectively all these amines are called biogenic amines.&nbsp; Again these amines are found in food or from microbes that generate them.&nbsp; Microbes produce them when food sits around too long or as the food passes through a digestive tract.&nbsp; Some examples of the neurotransmitters are dopamine, norepinephrine, epinephrine, serotonin, and histamine.&nbsp; Some examples of microbial generated amines are putracine, sperimadine, cadaverine, and histamine.&nbsp; These are also the types of amines that will be found in food because most of them are produced by the microbes.&nbsp;</p> <p>As an aside, when we cook food and prepare food, part of the idea to not get sick from that food is to eliminate the microbes.&nbsp; The cooking reduced the microbes so they are not able to produce too much of these amines.&nbsp; When the food sits around too long and you get sick, it can be from these biogenic amines that are produced by the microbes.&nbsp; The microbes that are still present in the food after cooking in small amounts and therefore so are amines.&nbsp; We cook food to reduce the amount there.&nbsp; Depending on how long it sits and how well you cooked it, will determine the amine load.</p> <p>Many foods contain amines naturally and a good example of this is histamine.&nbsp; This amine can be particularly aggravating for some people.&nbsp; Amines have a resonance time in the body, meaning they stick around in your in the body for a certain period of time.&nbsp; During that time that they are biologically active whether it's in the cardiovascular system or the digestive system.&nbsp; The amount of time that they stick around in your body is based on how quickly they are eliminated.&nbsp; All amines have similar elimination pathways as the neurotransmitters and the molecules our bodies naturally make in this category.&nbsp; When you are consuming more of them or there are more being generated in your body, that resonance time will go up.&nbsp;</p> <p>&nbsp;</p> <h2>Amines Detoxification and Anxiety&nbsp;</h2> <p>The reason for that is because they have a similar structure.&nbsp; Structurally similar molecules go through common pathways for detoxification.&nbsp; In the case that you are consuming, your body is producing, or there are high amounts in your diet, the pathways that remove or detoxify these molecules can get over burdened.&nbsp; The bucket gets filled up and the molecules start to spill over into your tissues.&nbsp; Those tissues get more stimulated and you have and you have certain symptoms of high amines.&nbsp; Since these molecules are stimulating as we noted, some of those symptoms can be higher amounts of anxiety, worry, stress, palpitations,&nbsp; shortness of breath.&nbsp; You may be generally not feeling well because your body is revved up.&nbsp; The same way as if you you have a close call in a car accident.&nbsp; You will feel a little stimulated.&nbsp; That is from the epinephrine or adrenaline in your body.&nbsp; The same thing can happen from certain foods.&nbsp; Especially when there are a lot of them around and you have genetic alterations in the pathways that eliminate these amines.&nbsp;</p> <p>You may have even more sensitivity to these foods or sensitivity to situations that are causing your body to produce more adrenaline.&nbsp; Two of the common pathways or enzymes that that are involved in elimination of amines are COMT, MAOa and MAOb.&nbsp; Both of those enzymes do a lot of the heavy lifting for amine elimination.&nbsp;</p> <p style="text-align: center; font-size: 20px; font-weight: bold;"><a href="https://www.swintegrativemedicine.com/blog/comt-gene-and-anxiety"><em>Learn More about COMT and Anxiety</em></a></p> <p>They are not the only enzymes involved though.&nbsp; If you have a genetic alteration in these enzymes, foods that are high in amines may not be the best for you or they may increase your anxiety.&nbsp; However, just because you have a genetic alteration in those doesn't necessarily mean you will feel worse from those types of foods.&nbsp; There are lots of different things that go into a psychological makeup that have nothing to do with your genetics.&nbsp; With that being said, there can be strong influences of dietary amines on one's psychology and how they feel on a day-to-day basis.&nbsp; Anxiety and things like that do occur from these foods when your body is overburdened by these biogenic amines.&nbsp; This process is going to be more common in those that do have genetic alterations.&nbsp; It can happen when you don't have those genetic alterations as well.&nbsp;</p> <p>For instance if you consume a lot of foods that have a high level of amines in them.&nbsp;&nbsp;Fermented foods have a lot of these biogenic amines in them.&nbsp; So eating a lot of these may cause issues.&nbsp; Also people that have a lot of allergic or sensitivity type reactions.&nbsp; Whether it is from environmental or food, histamine contributes to the slowed elimination of these biogenic amines.&nbsp;</p> <p>That should give you a better understanding of the role of dietary amines in anxiety.&nbsp; &nbsp;If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on how to improve your anxiety, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Fdietary-amines-and-anxiety&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> anxiety anxiety causes anxiety disorders anxiety triggers Thu, 24 Nov 2022 17:30:00 GMT https://www.swintegrativemedicine.com/blog/dietary-amines-and-anxiety 2022-11-24T17:30:00Z Dr. Robin Terranella Low DHEA And Normal DHEA-s https://www.swintegrativemedicine.com/blog/low-dhea-and-normal-dhea-s <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/low-dhea-and-normal-dhea-s" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/scott-graham-5fNmWej4tAA-unsplash.jpg" alt="Low DHEA And Normal DHEA-s" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Are you having problems with high DHEA sulfate or low DHEA levels?&nbsp; Maybe you're wondering what the relationship is between DHEA and DHEA sulfate.&nbsp; In this article, we answer a question about what it means to have a <a href="https://www.swintegrativemedicine.com/blog/what-does-a-high-dhea-s-in-female-mean">low level of DHEA and normal level of DHEA-s</a>.&nbsp; We will look at the relationship between these two molecules, the enzymes involved and other things that might be going on when you have a low DHEA and normal DHEA-s.&nbsp; &nbsp;Looking at this question will be helpful for those with high and low DHEA levels as it requires us to look at another aspect of where the DHEA is going and coming from.&nbsp; &nbsp;</p> <p>&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1920px; max-height: 1080px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p>Are you having problems with high DHEA sulfate or low DHEA levels?&nbsp; Maybe you're wondering what the relationship is between DHEA and DHEA sulfate.&nbsp; In this article, we answer a question about what it means to have a <a href="https://www.swintegrativemedicine.com/blog/what-does-a-high-dhea-s-in-female-mean">low level of DHEA and normal level of DHEA-s</a>.&nbsp; We will look at the relationship between these two molecules, the enzymes involved and other things that might be going on when you have a low DHEA and normal DHEA-s.&nbsp; &nbsp;Looking at this question will be helpful for those with high and low DHEA levels as it requires us to look at another aspect of where the DHEA is going and coming from.&nbsp; &nbsp;</p> <p>&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1920px; max-height: 1080px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1920" height="1080" src="https://www.youtube.com/embed/NcM3_2-Uaw0" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p></p> <h2>DHEA Verses DHEA-s Levels</h2> <p>If you are not familiar the diagram in the video above, it will be helpful to understand how the molecules can be interconverted.&nbsp; &nbsp;DHEA is the unconjugated form of DHEA and can then turn into the other sex hormones or steroids. The video above contains a diagram showing the relationship and the enzymes involved with the interconversion.&nbsp; It is generally assumed that DHEA is readily converted into DHEA sulfate via sulfation enzymes. They are referred to as SULT enzymes.&nbsp;</p> <p>It is specifically the SULT A1 and SULT B1 that make the conversion from the unconjugated form to the conjugated form.&nbsp; This enzyme adds on a sulfate molecule on.&nbsp; The sulfur transferase enzymes takes off the sulfur group.&nbsp; Then DHEA and not DHEA sulfate, can be used to make androstenedione which then goes on to make testosterone.&nbsp; It can also turn into estrone via the aromatase enzyme.&nbsp; Testosterone can be turned into estradiol through the same enzyme.&nbsp;</p> <p>The person's question was "what does it mean (or what could the problem be) if you have low DHEA but normal DHEA-s.&nbsp; Well one thing that could be happening is these SULT enzymes are sped up.&nbsp; With this more DHEA is converted to DHEA-s.&nbsp; The activity of enzymes can change based one certain environmental things going on inside your body.&nbsp; There are also genetic factors that could also be sped up enzymes.&nbsp;&nbsp;</p> <p>&nbsp;One specific SNP associated with this is the <a href="https://www.frontiersin.org/articles/10.3389/fphar.2016.00030/full">rsid rs12861247</a>.&nbsp; This SNP was associated with lower sulfur transferase enzyme activity.&nbsp; So that you get a buildup of DHEA-s and maybe less of DHEA.&nbsp; In our case the level is DHEA-s was normal and the DHEA level was low.&nbsp; This genetic alteration could still account for this picture.&nbsp;</p> <p><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/scott-graham-5fNmWej4tAA-unsplash.jpg?width=7360&amp;name=scott-graham-5fNmWej4tAA-unsplash.jpg" alt="scott-graham-5fNmWej4tAA-unsplash" width="7360" style="width: 7360px;"></p> <h2>&nbsp;</h2> <h2>Low DHEA Normal DHEA-s Context</h2> <p>It could also be that one of the HSD enzymes is sped up making more androgens or more estrone and estradiol.&nbsp; So it's hard to say for sure what's going on in any specific scenario.&nbsp; &nbsp;Context is king when it comes to interpreting what's going on in any individual.&nbsp; You have to know what's going on at the individual level.&nbsp;</p> <p>For instance, are you having hormonal symptoms? Does it seem more like you are having hormonal symptoms (PMS, heavy cycles more symptoms around cycles, headaches, etc)?&nbsp; Are you having more androgenic symptoms or does it seem more estrogen-based.&nbsp; &nbsp;These types of questions and answers will help us understand what could be going on with the enzymes.&nbsp; You can then work backwards to understand what you can do to manipulate the enzymes in your favor.&nbsp;&nbsp;</p> <p>The elevation or deficiency in DHEA or DHEA-s may not be a problem depending how high or low they are.&nbsp; It really just depends on what's going on with your body.&nbsp; If you do have symptoms or problems, this could be a clue and you can work backwards to understand what's going on with the enzymes.&nbsp; That should help you understand what you can do to resolve the symptoms that you have.&nbsp;</p> <p>This should give you a better understanding of what could be going on with your body when you have low DHEA and normal DHEA-s.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on optimize your DHEA levels, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <p>&nbsp;</p> <p>&nbsp;</p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Flow-dhea-and-normal-dhea-s&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> abnormal blood tests DHEA Levels abnormal lab tests Thu, 10 Nov 2022 18:15:00 GMT https://www.swintegrativemedicine.com/blog/low-dhea-and-normal-dhea-s 2022-11-10T18:15:00Z Dr. Robin Terranella Foods That Affect Liver Function Tests https://www.swintegrativemedicine.com/blog/foods-that-affect-liver-function-tests <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/foods-that-affect-liver-function-tests" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/liver-4081243_1920.png" alt="Foods That Affect Liver Function Tests" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Are you having problems with your liver function tests?&nbsp; Maybe you are seeing elevated levels of AST, ALT, or GGT.&nbsp; In this article we look at the <a href="https://www.swintegrativemedicine.com/blog/how-do-you-lower-high-liver-enzymes">foods that affect liver function tests.</a>&nbsp; We answer questions like, what has a bigger impact carbohydrates, fats, or protein and what types of foods you should avoid if you have elevated liver function tests.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p>&nbsp;</p> <p style="font-weight: bold;">If you want to know the foods that affect liver function tests, keep reading.&nbsp;</p> <p>Are you having problems with your liver function tests?&nbsp; Maybe you are seeing elevated levels of AST, ALT, or GGT.&nbsp; In this article we look at the <a href="https://www.swintegrativemedicine.com/blog/how-do-you-lower-high-liver-enzymes">foods that affect liver function tests.</a>&nbsp; We answer questions like, what has a bigger impact carbohydrates, fats, or protein and what types of foods you should avoid if you have elevated liver function tests.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1280" height="720" src="https://www.youtube.com/embed/GZIEeGzpWXU" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p>&nbsp;</p> <p style="font-weight: bold;">If you want to know the foods that affect liver function tests, keep reading.&nbsp;</p> <p></p> <h2 style="font-weight: bold;">Liver Function and Food</h2> <p>I get many questions on liver function tests.&nbsp; So I wanted to look a little deeper at some of the foods and specifically the role of macronutrients (carbs protein and fats).&nbsp; To understand this we will review a study that looked at the influence of diet on liver function tests and serum lipids.&nbsp; The researchers were using this to help differentiate the impact from food versus the medication being studied in clinical trials.&nbsp; This was a small study and the diets that they looked at were; a balanced normal caloric diet, a high carbohydrate high calorie diet, and a high fat high calorie diet.&nbsp; Each diet was consumed in a randomized sequence for a total of eight days with a recovery period in between each of the eight days.&nbsp; The researches collected the blood samples from all the patients to see what the impact of each of those diets was on the liver enzymes.</p> <p>The main summary or conclusion by the authors was there was rise in transaminases and triglycerides based on carbohydrate consumption rather&nbsp; than caloric consumption.&nbsp; Within this high carbohydrate high calorie diet it was sucrose carbohydrates rather than other starches that seem to have the biggest impact.&nbsp; The long and short of it is carbohydrates and specifically sucrose seems to be a big driver for elevated liver enzymes.&nbsp;</p> <p>Now if you want to know a little bit more details here is a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884438/">link to the study</a>.&nbsp; I also wanted to point out a few additional things they found.&nbsp; For the ALT the control diet (not high carb not high calorie) was very low.&nbsp; The high fat high calorie diet had a mild rise and the high carb high calorie diet had a very high live function tests.&nbsp; &nbsp;You can see a clear indication of what's going on.&nbsp; The same thing happens with the other liver enzyme tests&nbsp; AST (aspartate aminotransferase).&nbsp; This one did not have as large of an increase but it was still quite high.&nbsp; They also measured GGT which is a less commonly measured liver function test.&nbsp; With GGT the same pattern emerges.&nbsp;</p> <p><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/liver-4081243_1920.png?width=1920&amp;name=liver-4081243_1920.png" alt="liver-4081243_1920" width="1920" style="width: 1920px;">To rule out any impact of exercise, they also measured creatinine kinase.&nbsp; The also controlled for the <a href="https://www.swintegrativemedicine.com/blog/can-exercise-affect-liver-enzymes">impact of exercise on liver enzymes</a> by making sure there was no change in exercise routine for two days before the study began.&nbsp;</p> <p>The conclusions of the study stated, there's a clear relationship between the marked rise in transaminases AST and ALT, and the number of days on the high calorie high carb diet.&nbsp; &nbsp;The same effect was not found on the high calorie high fat diet.&nbsp; There was still a modest increase in the enzymes.&nbsp; &nbsp;They proposed that the increase in enzymes was because this diet did have more carbs due to the calories being higher than the control.&nbsp; &nbsp;That's one hypothesis.&nbsp; Other studies have found that just overall higher calorie consumption can increase these liver function test as well.&nbsp; They also noted that a much higher proportion of the calories in the diet was from sucrose than would occur in a typically diet.&nbsp;</p> <p>Clearly the sucrose seemed to increase the liver function tests.&nbsp; If you were just eating potatoes or other starches without the sugar you may not see such a large increase.&nbsp; The biggest takeaway is that carbohydrates can and do increase liver function tests.&nbsp; Diet plays a big role on liver function tests and how your liver is actually functioning.&nbsp; As the carbohydrates creep up, your body can't dispose of them enough.&nbsp; When your liver can not dispose of them, they get packaged into a triglyceride.&nbsp; As the triglycerides rise, those excess triglycerides can then start to damage liver cells.&nbsp; Those cells open up and the enzymes get into the blood and we see higher numbers on the test.&nbsp;</p> <p>Sucrose in particular does this.&nbsp; Sucroses is fructose and glucose together.&nbsp; &nbsp;We also know that fructose itself is even more problematic than sucrose.&nbsp; There are lots of studies on detrimental effects of high fructose corn syrup. Plain fructose from whole fruit can also do this.&nbsp; It is the amplitude of rise of the fructose in the blood and into the liver that dictates how much dame may occur.&nbsp; If you have small amounts over longer periods of time, it's not going to have the same impact as quick rise (the difference in and apple verse apple juice).</p> <p>We know that alcohol and Tylenol can definitely damage your liver.&nbsp; When it&nbsp; comes to food it's going to be high amounts sugar and fructose.&nbsp; When you eat sugar you will typically want more once you have that taste.&nbsp; So that will cause your liver to have to work overtime to package that sugar up and turn into a triglyceride.&nbsp;&nbsp;If you have elevated liver function tests carbohydrates,&nbsp; sucrose, and fructose are the big things that have a large impact on your liver function.&nbsp;</p> <p>That should give you a better understanding of the foods that affect liver function tests.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on how to lower your liver function tests, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Ffoods-that-affect-liver-function-tests&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> Food Nutrition Elevated Liver Enzymes Lab testing abnormal lab tests Liver Enzymes Thu, 27 Oct 2022 18:15:00 GMT https://www.swintegrativemedicine.com/blog/foods-that-affect-liver-function-tests 2022-10-27T18:15:00Z Dr. Robin Terranella What Happens When Homocysteine Is High? https://www.swintegrativemedicine.com/blog/what-happens-when-homocysteine-is-high <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/what-happens-when-homocysteine-is-high" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/camilo-jimenez-OermHGSUzhI-unsplash.jpg" alt="What Happens When Homocysteine Is High?" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Are you confused about what happens if homocysteine is high? Maybe you have heard it doesn't really matter or maybe you heard it's really important.&nbsp; In this article, we look at some of the impacts of high homocysteine on human health.&nbsp; Specifically we look at the role of the homocysteine molecule on the cardiovascular system and what the research says about this.&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p style="font-weight: bold;">If you want to know what happens when homocysteine is high, keep reading.&nbsp;</p> <p>Are you confused about what happens if homocysteine is high? Maybe you have heard it doesn't really matter or maybe you heard it's really important.&nbsp; In this article, we look at some of the impacts of high homocysteine on human health.&nbsp; Specifically we look at the role of the homocysteine molecule on the cardiovascular system and what the research says about this.&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1280" height="720" src="https://www.youtube.com/embed/IqnsOngmi4Y" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p style="font-weight: bold;">If you want to know what happens when homocysteine is high, keep reading.&nbsp;</p> <p></p> <h2>The Homocysteine Molecule</h2> <p>First we want to look at what is homocysteine.&nbsp; Homocysteine is a molecule that we can measure in your blood.&nbsp; This molecule can inform us about things like B12 and folate levels.&nbsp; It's a reflection of whether or not you are deficient in these vitamins.&nbsp; It's also a reflection of your overall protein intake and the inflammation occurring in your body.&nbsp; &nbsp;Protein is made up of amino acids and two of these amino acid are methionine and cystine.&nbsp; Both of these are important precursors and byproducts of homocysteine.&nbsp; So that, if you don't have enough protein, you will have low homocysteine levels.&nbsp; People that eat a lower protein or more vegetarian-based diet may have naturally lower homocysteine levels.&nbsp;</p> <p>In terms of inflammation, sometimes when you have of inflammation in your body, your homocysteine can get converted into cysteine to make glutathione.&nbsp; Glutathione can help lower the overall inflammation in your body and neutralize some of that inflammation that's occurring.&nbsp; Typically though, high homocysteine reflects a deficiency in the B vitamins stated above, like B12 and folate.&nbsp; We will talk more specifics about the folate and B12 below.&nbsp; Back to our question, <a href="https://www.swintegrativemedicine.com/blog/b12-deficiency-heres-what-happens-clinically">what happens if homocysteine is high</a>?</p> <p>There are definitely consequences to a deficiency in these B vitamins.&nbsp; Changes occur from chronic vitamins deficiencies, but that's not what this article is about.&nbsp; Instead, we want to look specifically at what happens from the homocysteine molecule.&nbsp; &nbsp;When homocysteine molecule is elevated does this molecule have a negative detrimental effect on the body?&nbsp; <span style="background-color: transparent;">To understand this, we can look at the research to understand the relationship between high homocysteine and human health.&nbsp; First, what constitutes a high homocysteine?</span></p> <p><span style="background-color: transparent;"> Different laboratories will have different reference ranges for homocysteine.&nbsp; First off you want to make sure to measure your homocysteine in a fasted state, for about 10-12 hours.&nbsp; As far as values, some labs will cut off at 10 micromoles per liter and others will cut it off at 12 or even 15 micromoles per liter.&nbsp; In order to have a designation of hyper-homocystinemia, which is high homocysteine in your blood, your level has to be above 15 micromoles per liter.&nbsp; This is just the specific diagnostic criteria for hyper-homocystinemia.&nbsp; I like to see homocysteine between 7 and 9.&nbsp; </span></p> <h2><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/camilo-jimenez-OermHGSUzhI-unsplash.jpg?width=3116&amp;name=camilo-jimenez-OermHGSUzhI-unsplash.jpg" alt="camilo-jimenez-OermHGSUzhI-unsplash" width="3116" style="width: 3116px;"></h2> <h2>Research On What Happens When Homocysteine is High</h2> <p><span style="background-color: transparent;">What does the research say about high homocysteine and the impact of high homocysteine?&nbsp; Elevated levels of homocysteine have been associated with increased cardiovascular events like coronary artery disease, heart attack, stroke and even increased blood clots.&nbsp; &nbsp;These associations and evidence seem strongest for high homocysteine with stroke.&nbsp; One would think that treating high homocysteine with vitamins that lower homocysteine would decrease the risk for stroke and some of decrease the risk for stroke and some of these other cardiovascular issues. </span><span style="background-color: transparent;"></span></p> <p><span style="background-color: transparent;">Indeed some studies do find this.&nbsp; For instance, there's been clear evidence of lowering homocysteine decreasing cardiovascular risk in patients with really high homocysteine levels.&nbsp; These are extremely high homocysteine levels like in the 20s and higher.&nbsp; Still many studies don't find a reduced risk in cardiovascular disease from treating&nbsp; high homocysteine levels for instance high homocysteine levels.&nbsp; For instance there's a meta-analysis by the <a href="https://www.ncbi.nlm.nih.gov/books/NBK554408/">American Heart Association that showed lowering homocysteine levels</a> did not significantly reduce reduce the risk for stroke and had a non-significant impact on coronary artery disease.&nbsp; So the study found a mild a trend on reducing coronary artery disease but there are problems with this meta-analysis.&nbsp; We will discuss this below.&nbsp; &nbsp;</span></p> <p><span style="background-color: transparent;">Here is my take on what happens if homocysteine is high.&nbsp; The association between high homocysteine and cardiovascular risk, especially stroke, should not be ignored.&nbsp; The common reason cited for high homocysteine levels is when you have a <a href="https://www.swintegrativemedicine.com/blog/bid/186541/top-5-questions-about-mthfr">genetic alteration in the MTHFR enzyme</a>.&nbsp; This enzyme converts folic acid enzyme into methylfolate, the active form.&nbsp; When there's a genetic alteration in mthfr, your body&nbsp; literally cannot make the methylfolate.&nbsp; However, the methyl folate is needed in order to convert homocysteine into something else called methionine.&nbsp; In other words, when you have this gene alteration, taking all the folic acid in the world will not help lower your homocysteine.&nbsp; It really won't lower it at all if you have genetic genetic alteration in mthfr.&nbsp; In fact there's some suggestion that it may make it worse.&nbsp; &nbsp;</span></p> <p><span style="background-color: transparent;">Despite this, some research claims that "there's no impact or no benefit in homocysteine lowering therapies."&nbsp; However, they don't even look to see if the people have alterations in the mthfr enzyme.&nbsp; They use folic acid even though we know that a lot of people with high homocysteine have genetic alterations in mthfr and therefor would not benefit from folic acid.&nbsp; That's probably not intentionally, it's&nbsp; just not a well designed to study.&nbsp; In addition, there is sound physiological reasons for beneficial impact of methylfolate and other B vitamins on the cardiovascular system.&nbsp; It's also well documented that elevated homocysteine levels increase risk for blood clots.&nbsp; </span></p> <p><span style="background-color: transparent;">My take is if you have high homocysteine, it's best to find out why it's high and it's best to try to lower your homocysteine levels.&nbsp;&nbsp;</span></p> <p>That should give you a better understanding of what happens when homocysteine is high.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on how to lower your homocysteine levels, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <p>&nbsp;</p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Fwhat-happens-when-homocysteine-is-high&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> natural cardiovascular solutions heart health b12 B12 Deficiency homocysteine Thu, 13 Oct 2022 18:00:00 GMT https://www.swintegrativemedicine.com/blog/what-happens-when-homocysteine-is-high 2022-10-13T18:00:00Z Dr. Robin Terranella Management Of Iron Deficiency Anemia https://www.swintegrativemedicine.com/blog/management-of-iron-deficiency-anemia <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/management-of-iron-deficiency-anemia" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/farhad-ibrahimzade-6i5FDpD8H5s-unsplash.jpg" alt="Management Of Iron Deficiency Anemia" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Do you have issues with ongoing iron deficiency anemia?&nbsp; Are you wondering how do you manage iron deficiency anemia? Maybe you are chewing ice or have restless syndrome.&nbsp; These are all symptoms of low iron levels.&nbsp; In this article we go into depth on the management of iron&nbsp; deficiency anemia.&nbsp; We look at what kinds of tests should be done to understand whether you're getting enough and some alternatives to oral iron to manage your iron deficiency anemia.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p>&nbsp;</p> <p><span style="font-weight: bold;">If you want to understand the management of iron deficiency anemia, keep reading.</span> </p> <p>Do you have issues with ongoing iron deficiency anemia?&nbsp; Are you wondering how do you manage iron deficiency anemia? Maybe you are chewing ice or have restless syndrome.&nbsp; These are all symptoms of low iron levels.&nbsp; In this article we go into depth on the management of iron&nbsp; deficiency anemia.&nbsp; We look at what kinds of tests should be done to understand whether you're getting enough and some alternatives to oral iron to manage your iron deficiency anemia.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1280" height="720" src="https://www.youtube.com/embed/bCW1NbR6TwA" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p>&nbsp;</p> <p><span style="font-weight: bold;">If you want to understand the management of iron deficiency anemia, keep reading.</span> </p> <h2 style="font-weight: bold;">Understanding Iron Deficiency Anemia</h2> <p>The <a href="https://www.swintegrativemedicine.com/blog/what-causes-iron-deficiency-anemia">management of iron deficiency anemia</a> is conceptually very easy but but there are a few things issues that can come up during the process of managing iron deficiency anemia.&nbsp; &nbsp;In this article we go into depth on how to manage iron deficiency anemia to ensure you don't run into these same problems.&nbsp; Now iron deficiency anemia occurs when you are not consuming enough or not consuming as much as you lose over an extended period of time.&nbsp; Most of the iron we consume comes from animal products.&nbsp; Yes there's some in plants but typically it's not very bioavailable iron.&nbsp; So the iron in plants has minimal absorption compared to the iron that is in animals.&nbsp; The heme iron that's in animals comes from their blood.&nbsp;</p> <p>So if you are someone that's more vegetarian, vegan or you just don't eat a lot of animal, like chicken beef turkey those products,&nbsp; you may not be getting enough compared to what you loose.&nbsp; Along those lines, most of the iron deficiency anemia does occur in females due to their menstrual cycles females.&nbsp; They are losing blood every month, of course.&nbsp; Once they hit menopause, that will not be the case.&nbsp; Still, people can be iron deficiency even if they are not menstruating.&nbsp; Males can become iron .deficient as well.&nbsp; It's just not as common.&nbsp;</p> <p>In the cases of males, it occurs when they don't consume enough animal products to replace their iron.&nbsp; In addition sometimes there is some ongoing bleeding, usually for a chronic period.&nbsp; They probably just don't know the bleeding is occurring.&nbsp; Some people do have absorption issues too.&nbsp; That can play a role and we also lose some iron every day just due to breakdown of the hemoglobin molecule and through other means.&nbsp; For instance, long distance runners can lose a lot of iron from the heel strikes.&nbsp; These types of iron deficiency don't typically lead to the deficiency we see in females.&nbsp;</p> <p>There is a separate article on <a href="https://www.swintegrativemedicine.com/blog/what-causes-iron-levels-to-be-high">iron deficiency and the reasons people get anemia</a>.&nbsp; This goes into a little bit more depth, if you want to check that out.&nbsp; Now you have a basic understanding of why it occurs, we can look at how to manage the iron deficiency anemia.&nbsp;</p> <p>First, I also wanted to point out, not all anemia is iron deficiency anemia.&nbsp; Iron deficiency anemia is defined by a lack of red blood cells or a lack of lack of hemoglobin due to not enough iron.&nbsp; The iron is needed to make the hemoglobin and the hemoglobin is needed to make the red blood cells.&nbsp; So not enough iron causes deficiency in one or both of these. There are other causes of anemia not from iron deficiencies too.&nbsp; We won't go into that here.&nbsp; Just make sure your issues are from iron, before you start taking iron.&nbsp;</p> <h2><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/farhad-ibrahimzade-6i5FDpD8H5s-unsplash.jpg?width=2240&amp;name=farhad-ibrahimzade-6i5FDpD8H5s-unsplash.jpg" alt="farhad-ibrahimzade-6i5FDpD8H5s-unsplash" width="2240" style="width: 2240px;"></h2> <h2>Management of Iron Deficiency Anemia</h2> <p>So when it's low, you need to increase your intake of iron. This can come from food sources, supplements, injections, or intravenous iron.&nbsp; When it comes to management of iron deficiency anemia, you need to increase those low levels.&nbsp; Food and supplements are the easiest and the best way to go about it because it's something you can do on your own at home etc.&nbsp; However, this route can take a long time for some people depending on their absorption.&nbsp; If they have issues with absorption, it may take a really long time.&nbsp; This becomes cumbersome because in some cases the oral iron can also cause constipation or other digestive side effects.&nbsp;</p> <p>There's one type of oral iron that I recommend above the others ones.&nbsp; It is called <a href="https://thor.ne/5f5KT">iron bisglycinate</a> and you can find it <a href="https://thor.ne/5f5KT">here</a> or <a href="https://amzn.to/3a4MaKp">here</a>.&nbsp; Some <span style="background-color: transparent;">people can also just increase their protein intake from animals that have a lot of blood like beef, elk, and bison.&nbsp; &nbsp;All animals have some blood in them and will increase your iron if you're eating them on a regular basis.&nbsp; Beef, liver, and other organ meats are also a rich source of iron.&nbsp; &nbsp;You just want to make sure you are getting a healthy source.&nbsp; </span></p> <p><span style="background-color: transparent;">How do you know when you actually have enough iron?&nbsp; The first way you'll know is if you no longer have iron deficiency anemia symptoms. These are symptoms like fatigue, chewing ice, restless leg, and other things like that.&nbsp; The other way is through getting a blood test.&nbsp; On this test your hemoglobin will be in the normal range and your serum iron will be normal range.&nbsp; This is oftentimes where people get hung up. They stop their iron treatment once those things normalize.&nbsp; They don't check things like their storage forms of iron.&nbsp; The storage forms of iron also known as ferritin tells us how your total body iron levels are doing.&nbsp; If you check your storage form, you may actually still be low even though you are no longer anemic.&nbsp; In this case, when you stop your iron treatment, whether it's intravenous or oral, you quickly return to being anemic.&nbsp; Since you think everything is good, you may not get tested again for a long time.&nbsp; Six months or one year later, you're back in the same position again.&nbsp; </span><span style="background-color: transparent;">You have to stay up with the testing to make sure you're getting enough iron and not dropping off as soon as you stop the treatment.&nbsp; </span></p> <p><span style="background-color: transparent;">That's the first tip I have on managing iron deficiency anemia.&nbsp; Make sure you are checking all of your levels related to iron.&nbsp; Like the serum iron, total iron binding capacity, hemoglobin, red blood cells, and ferritin.&nbsp; &nbsp;Once all your levels are normal and that ferritin is above around 60, it's time to start backing off on your iron supplementation.&nbsp; If your levels aren't reaching that, you need to keep going.&nbsp; Some people have to continue consuming the iron because they are menstruating heavier than others.&nbsp; Checking your levels regularly will give you insight on how much iron you need to consume and whether or not you are trending up trending down or staying even.&nbsp;</span></p> <p>&nbsp;</p> <h2><span style="background-color: transparent;">Alternatives to Oral Iron</span></h2> <p><span style="background-color: transparent;">What are you going to do if you can't tolerate the oral iron or increasing the oral iron or animal protein?&nbsp; Well in that cases, you can get intravenous iron or injectable iron.&nbsp; These therapies do carry some risk and there's also the expense.&nbsp; &nbsp;However, it does get your iron levels up much quicker and you are not battling the ongoing low iron all the time.&nbsp; A lot of people with low iron don't realize they can just get an IV of iron or take an injection of iron.&nbsp; Intravenous iron is not recommended if you haven't tried the oral iron but it does provide a much quicker way to get your levels up. </span></p> <p><span style="background-color: transparent;">There is also the possibility of overdosing on iron or getting too much iron in your system.&nbsp; You definitely don't want to do that on an ongoing basis.&nbsp; That's why its recommend to checking your iron levels, your ferritin, your hemoglobin to make sure things are balanced just right for your system.&nbsp;</span></p> <p>That should give you a better understanding of the management of iron deficiency anemia.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on the management of iron deficiency anemia, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <p>&nbsp;</p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Fmanagement-of-iron-deficiency-anemia&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> irregular periods iron deficiency iron anemia Thu, 29 Sep 2022 18:04:00 GMT https://www.swintegrativemedicine.com/blog/management-of-iron-deficiency-anemia 2022-09-29T18:04:00Z Dr. Robin Terranella Overlooked Thyroid Hormone Causes of Fatigue https://www.swintegrativemedicine.com/blog/overlooked-thyroid-hormone-causes-of-fatigue <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/overlooked-thyroid-hormone-causes-of-fatigue" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/national-cancer-institute-9k4Fglw6eFQ-unsplash-2.jpg" alt="Overlooked Thyroid Hormone Causes of Fatigue" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Do you have ongoing fatigue and trying to figure out what could be going on to cause your fatigue?&nbsp; Maybe you also have hypothyroid symptoms such as weight gain, dry skin, constipation, etc? In this article, we look at overlooked thyroid hormone causes of fatigue.&nbsp; This is part of a broader series of articles on <span style="font-weight: bold;">overlooked causes of fatigue</span>.&nbsp; Check out that link to understand the things that we look for when people are struggling with fatigue.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1920px; max-height: 1080px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p><span style="font-weight: bold;">If you want to understand some overlooked thyroid hormone causes of fatigue, keep reading.&nbsp;</span><br></p> <p>Do you have ongoing fatigue and trying to figure out what could be going on to cause your fatigue?&nbsp; Maybe you also have hypothyroid symptoms such as weight gain, dry skin, constipation, etc? In this article, we look at overlooked thyroid hormone causes of fatigue.&nbsp; This is part of a broader series of articles on <span style="font-weight: bold;">overlooked causes of fatigue</span>.&nbsp; Check out that link to understand the things that we look for when people are struggling with fatigue.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1920px; max-height: 1080px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1920" height="1080" src="https://www.youtube.com/embed/wrjTebbo5Pc" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p><span style="font-weight: bold;">If you want to understand some overlooked thyroid hormone causes of fatigue, keep reading.&nbsp;</span><br></p> <h2>Role of Thyroid Hormone Deficiency in Fatigue</h2> <p>Low thyroid hormone production and hypothyroid are fairly straightforward to diagnose and treat.&nbsp; Yet there are a few situations around hypothyroidism or insufficient thyroid hormone production, that are overlooked.&nbsp; These scenarios are not too unusual to see in my practice.&nbsp; Before we get into them, we should orient you to some terminology.&nbsp; TSH is a hormone that's produced from your brain (pituitary) and it causes your thyroid hormone to produce T4 and a little bit of T3.&nbsp; &nbsp;These are the thyroid hormones.&nbsp; &nbsp;The T4 is then converted into T3 in the tissues when it's needed.&nbsp;</p> <p>One of the <a href="https://www.swintegrativemedicine.com/blog/bid/135222/thyroid-imbalance-hidden-causes-of-thyroid-imbalance">overlooked thyroid issues</a> that can often lead to ongoing fatigue is the poor conversion between the T4 into T3.&nbsp; &nbsp;The enzyme that makes this conversion is called deiodinase.&nbsp; There are several things that can influence these enzymes and how they actually perform their function.&nbsp; One of these&nbsp; influencing factors is cortisol and the body's overall stress levels.&nbsp; When you are under higher stress levels and producing higher cortisol the deiodinases don't work properly.&nbsp; This can lead to more conversion of T4 into reverse T3. The problem is reverse T3 has no actual thyroid hormone activity.</p> <p>It's normal for your body to make some reverse T3 but when that reverse T3 is on the high side or high normal side, it suggests a poor conversion of T4 into T3.</p> <p>You can actually measure the T3 level as well.&nbsp; This gives you an idea of where the balance of your thyroid hormone is going.&nbsp; If a lot of it's going into that reverse T3, it means less is going to be available for actual T3.&nbsp; As a result, your tissues are getting less thyroid hormone stimulation because the T3 is the active form of the thyroid hormone.</p> <p>In these situations you may have a normal T3 and a normal TSH, meaning within the normal reference range.&nbsp; That free T3 or total T3 will be on the low side or low normal.&nbsp; In this case you may still have very much hypothyroid-like symptoms because your body cannot make that T3.&nbsp; Figuring out and diagnosing this is just a matter of looking at symptoms and doing the proper testing.&nbsp;</p> <p><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/national-cancer-institute-9k4Fglw6eFQ-unsplash-2.jpg?width=5184&amp;name=national-cancer-institute-9k4Fglw6eFQ-unsplash-2.jpg" alt="national-cancer-institute-9k4Fglw6eFQ-unsplash-2" width="5184" style="width: 5184px;"></p> <p>&nbsp;</p> <h2 style="font-weight: bold;">Another Overlooked Thyroid Hormone Cause of Fatigue</h2> <p>Another overlooked thyroid hormone cause of fatigue is when you have a normal TSH but low T4.&nbsp; In some cases your brain, the hypothalamus and the pituitary gland, are not responding properly to low T4 levels.&nbsp; Your brain is supposed to get the signal to produce more TSH when there's a lack of T4.&nbsp; In some cases it doesn't do this.&nbsp; While your thyroid gland is not making enough of the T4 for your brain, it's also not triggering it or stimulating it to make more T4.&nbsp; There's a mismatch between the amount of thyroid output and the amount that your brain should be asking for.&nbsp; This leaves you more fatigued.&nbsp; &nbsp;A lot of times in those cases it's a deeper overall lack of stimulation and dysfunction within the hypothalamic pituitary axis.&nbsp; &nbsp;These are some of the overlooked thyroid hormone causes of fatigue I see in practice from time to time.&nbsp;</p> <p>It's also common to see just overall subclinical hypothyroidism. This is where people have boarderline hypothyroid but respond favorably to treatment with thyroid hormone.&nbsp; In cases where you don't have overt hypothyroidism or frank hypothyroidism, treating with thyroid hormone usually won't be very beneficial for you.&nbsp; You do have to do some trial and error and see whether or not it will benefit you in any way.&nbsp; If it's not really helping your fatigue, it's may not be worth continuing.</p> <p>That should give you a better understanding of overlooked thyroid hormone cause of fatigue.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on how to treat your thyroid disorder, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Foverlooked-thyroid-hormone-causes-of-fatigue&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> chronic fatigue Reasons for Fatigue natural thyroid treatment thyroid treatment Natural thyroid medicine chronic fatigue syndrome thyroid testing hypothyroid Thu, 15 Sep 2022 18:15:00 GMT https://www.swintegrativemedicine.com/blog/overlooked-thyroid-hormone-causes-of-fatigue 2022-09-15T18:15:00Z Dr. Robin Terranella The Truth About Leaky Gut https://www.swintegrativemedicine.com/blog/the-truth-about-leaky-gut <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/the-truth-about-leaky-gut" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/diagram-41638_1280-1.png" alt="The Truth About Leaky Gut" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Are you wondering where all the inflammation is occurring in your body maybe you've heard that leaky gut might be causing some of the chronic inflammation you are experiencing?&nbsp; In this article, we look at the truth about leaky gut and its role in chronic inflammation and chronic inflammatory diseases.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p style="font-weight: bold;">If you want to know the truth about leaky gut, keep reading.&nbsp;</p> <p>Are you wondering where all the inflammation is occurring in your body maybe you've heard that leaky gut might be causing some of the chronic inflammation you are experiencing?&nbsp; In this article, we look at the truth about leaky gut and its role in chronic inflammation and chronic inflammatory diseases.</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1280" height="720" src="https://www.youtube.com/embed/h3KYPJ02lnc" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p style="font-weight: bold;">If you want to know the truth about leaky gut, keep reading.&nbsp;</p> <p></p> <h2>Understanding Leaky Gut</h2> <p>The truth about leaky gut is that the conventional evidence for its role in health and disease broadly speaking is limited but growing.&nbsp; &nbsp;Despite this limited evidence from conventional medicine, there is plenty of empirical&nbsp; and even clinical research supporting the role of leaky gut in a wide range of health conditions.&nbsp; The most broad reaching of these conditions is a general term referred to as chronic inflammatory diseases.&nbsp; The picture (and video) above shows what happens with leaky gut.&nbsp; There is normal tissue to the left and as inflammation in the digestive tract progresses there is leaky gut.&nbsp; What we want to look at is the case for leaky gut being related to other inflammatory diseases outside of the digestive tract.&nbsp; &nbsp;</p> <p>The basic idea of leaky gut is as follows.&nbsp; Inflammation occurs through and via the immune system.&nbsp; The digestive tract is closely connected anatomically and mechanistically with the immune system.&nbsp; This relationship and connection is what the scientific research focuses on.&nbsp; When we look to connect leaky gut and digestive issues to other global issues, this is the first place that we usually look.&nbsp; &nbsp;Before we look at that research, let's look a little bit more at what is meant by a leaky gut.&nbsp;</p> <p><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/diagram-41638_1280-1.png?width=1280&amp;name=diagram-41638_1280-1.png" alt="diagram-41638_1280-1" width="1280" style="width: 1280px;"></p> <p>Leaky gut is a simple way to describe a complex process by which the digestive tract barrier is not working the way it should.&nbsp; In this process there are potentially immune stimulating proteins from inside the digestive tract lumen that can pass unencumbered into the body.&nbsp; These proteins can be microbial proteins, food proteins, and from other sources.&nbsp; &nbsp;There are many health conditions where there's really no debate about whether or not this happens.&nbsp; These include things like, celiac disease, irritable bowel disease (like Crohn's and Ulcerative Colitis), and even IBS.&nbsp; The debate about leaky gut or increased gut permeability is not a debate about whether or not it happens at all.&nbsp; &nbsp;The question is whether or not it is occurring in systemic conditions that are seemingly unrelated to the digestive tract but also have an inflammatory component.&nbsp;</p> <p>The process by which leaky gut occurs is there's breakdown of this mucous defense layer.&nbsp; In addition the proteins that hold the digestive cells together breakdown.&nbsp; This leads to an increased permeability and the immune stimulating proteins can leak through through.&nbsp; The activation of the immune systems can cause allergy and inflammation.&nbsp; There are multiple mechanisms by which leaky gut occurs.&nbsp; All seem to exploit the tight junction protein that hold the intestinal cells together and prevent penetration of these immune stimulating proteins.&nbsp; One of the proteins that hold the tight junctions together is called zonulin.&nbsp; Elevated blood levels of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996528/">zonulin have been associated with many chronic inflammatory diseases</a>.&nbsp; Included among these are celiac disease, type 1 diabetes, ankylosing spondylitis (an autoimmune condition), obesity, autism, depression and even chronic fatigue syndrome.&nbsp; While high zonulin in the blood is only associated with these chronic inflammatory diseases, other studies have confirmed this association with other measurements of leaky gut.&nbsp; &nbsp;Still there is not a consensus on how to measure leaky gut or increased intestinal permeability.&nbsp;</p> <p>Whether or not we can say this association as an actual causation is still not clear.&nbsp; However, given the proximity of the digestive tract to the immune system and the accumulating evidence between leaky gut and chronic inflammatory diseases, it seems likely that there is more than just a casual association.&nbsp; I am also reminded of the quote by Hippocrates "all disease starts in the gut."&nbsp; It seems there is accumulating evidence in support of this wise saying.&nbsp; The main point though is that leaky gut can affect more than just your digestive tract.&nbsp; Oftentimes can affect multiple areas of your body.&nbsp; Digestion and leaky gut are definitely related to a lot of immune, inflammatory, and autoimmune disease.&nbsp; I see this kind of thing frequently.&nbsp; For instance, with autoimmune diseases treating the digestive tract and finding an underlying trigger often improves or resolves chronic inflammatory diseases like autoimmune diseases.&nbsp;</p> <p>If you think you might be suffering from some of these things you can have a blood zonulin test done and it may help you understand what's going on in your body.&nbsp;</p> <p>That should give you a better understanding of the <a href="https://www.swintegrativemedicine.com/blog/why-most-leaky-gut-cures-wont-work">truth about leaky gut</a>.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on your leaky gut or chronic inflammatory issues, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <p>&nbsp;</p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Fthe-truth-about-leaky-gut&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> digestive problems IBS improve digestion digestive health Post Infectious IBS leaky gut Fri, 02 Sep 2022 18:30:00 GMT https://www.swintegrativemedicine.com/blog/the-truth-about-leaky-gut 2022-09-02T18:30:00Z Dr. Robin Terranella Overlooked Hormone Causes Of Fatigue https://www.swintegrativemedicine.com/blog/overlooked-hormone-causes-of-fatigue <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/overlooked-hormone-causes-of-fatigue" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/Screen%20Shot%202022-04-28%20at%209.59.00%20AM.png" alt="Overlooked Hormone Causes Of Fatigue" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Do you have ongoing fatigue, been diagnosed with chronic fatigue syndrome and trying to determine what's going on with your body?&nbsp; In this article, we look at some of the <span style="font-weight: normal;">overlooked hormone causes of fatigue</span><a href="https://www.swintegrativemedicine.com/blog/common-causes-of-fatigue"><span style="font-weight: normal;">.</span></a>&nbsp; In a previous article we looked at the three main causes of fatigue.&nbsp; Here we will discuss the physiological causes of fatigue that may have been overlooked.&nbsp; We specifically look at the things that can go wrong with the hypothalamus and pituitary because of stress.&nbsp; &nbsp;In addition, how stress can ultimately lead to a decreased production of important hormones that regulate energy and your bodily functions.</p> <p>&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p style="font-weight: bold;">If you want to understand some of the overlooked hormone causes of fatigue, keep readings.&nbsp;</p> <p>Do you have ongoing fatigue, been diagnosed with chronic fatigue syndrome and trying to determine what's going on with your body?&nbsp; In this article, we look at some of the <span style="font-weight: normal;">overlooked hormone causes of fatigue</span><a href="https://www.swintegrativemedicine.com/blog/common-causes-of-fatigue"><span style="font-weight: normal;">.</span></a>&nbsp; In a previous article we looked at the three main causes of fatigue.&nbsp; Here we will discuss the physiological causes of fatigue that may have been overlooked.&nbsp; We specifically look at the things that can go wrong with the hypothalamus and pituitary because of stress.&nbsp; &nbsp;In addition, how stress can ultimately lead to a decreased production of important hormones that regulate energy and your bodily functions.</p> <p>&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1280" height="720" src="https://www.youtube.com/embed/RdLWm-MWZkc" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p style="font-weight: bold;">If you want to understand some of the overlooked hormone causes of fatigue, keep readings.&nbsp;</p> <p></p> <h2>Hypothalamic Control And Cause Of Fatigue</h2> <p>The image below looks at is some of the controlling factors via the hypothalamus to the pituitary.&nbsp; This is also know as the hypothalamic pituitary axis.&nbsp; Most of the hormones in our body are controlled centrally by the hypothalamus and the feedback loops that occur through the pituitary and the hypothalamus.&nbsp; Interruptions in the feedback loops can cause global reduction in hormones, not just in one hormone system but many hormone systems.&nbsp;</p> <p><a href="https://www.ncbi.nlm.nih.gov/books/NBK279070/"><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/Screen%20Shot%202022-04-28%20at%209.59.00%20AM.png?width=1936&amp;name=Screen%20Shot%202022-04-28%20at%209.59.00%20AM.png" alt="Screen Shot 2022-04-28 at 9.59.00 AM" width="1936" style="width: 1936px;"></a></p> <p>The hypothalamus produces pulsatile rhythmic signals by way of hormones that cause the pituitary to then produce hormones as well.&nbsp; The hormones that are produced from the pituitary, target the end organ or the gland to produce the hormones that many of us are familiar with.&nbsp; These are things like cortisol, thyroid hormone, testosterone, etc.&nbsp; This process or system is referred to as the hypothalamic-pituitary - "whatever organ is involved." This could be the adrenals, the testes, the thyroid etc.&nbsp; &nbsp;For instance, you might see the hypothalamic-pituitary-adrenal axis or hypothalamic-pituitary- testicular access.&nbsp; So that's how those connections are referenced.</p> <p>To make it more clear what happens in the dysfunctional state, let's look at an example like production of cortisol.&nbsp; In the case of cortisol, the hypothalamus produces a hormone called corticotropin releasing hormone.&nbsp; This hormone stimulates the pituitary to then produce ACTH (Adrenocorticotropin Releasing Hormone).&nbsp; &nbsp;The ACTH then goes on to the adrenal glands to stimulate them to produce cortisol and several other hormones.&nbsp; The cortisol levels then feeds back to the pituitary and shut off the ACTH production.&nbsp; It also feeds back to the hypothalamus to reduce the amount of corticotropin releasing hormone produced.</p> <p>It turns out that your hypothalamus is part of a bigger neural network in the brain referred to as your limbic system.&nbsp; One of the big parts of what the limbic system does is it processes or is the center of our emotions.&nbsp; It is referred to as the emotional center in the brain.&nbsp; Stress, whether it's real or imagined, can cause the body to produce an appropriate amount of cortisol via this same mechanisms described above.&nbsp; In other cases, it could cause production of excess or deficient amounts of cortisol.&nbsp; Ideally it would produce the appropriate amounts of cortisol but sometimes there is dysfunction the hypothalamic response., as we will see below.&nbsp;</p> <p>The same kind of signals are involved with thyroid hormone and testosterone production.&nbsp; When it comes to stress, cortisol can actually feed back to dampen the response that comes out of the hypothalamus for all of the hormones.&nbsp; So it can reduce the amount of gonadatropin releasing hormone and thyroid releasing hormone as well.&nbsp; When you are under a lot of stress, real or imagined you may have less hormone output.&nbsp; Also depending on how your systems are wired, you may produce more cortisol than you need to.&nbsp; You may perceive a higher threat (in a low threat situation) and this causes your body to down regulate the amount of these hormones produced.&nbsp; &nbsp;</p> <h2>&nbsp;</h2> <h2>Hypothalamic-pituitary-adrenal axis Hormone Cause Of Fatigue</h2> <p>When it comes to <a href="https://www.swintegrativemedicine.com/blog/bid/155680/why-am-i-always-so-tired-do-i-have-chronic-fatigue-syndrome">overlooked causes of fatigue</a>, there is evidence in fatigue and chronic fatigue, being a problem in the hypothalamic-pituitary-adrenal axis (HPA axis).&nbsp; For some, it is thought to be a dysfunction in that axis.&nbsp; The dysfunction is in the response of your body producing cortisol and also how the cortisol feds back to the hypothalamus.&nbsp; Where does the dysfunction come from?&nbsp;</p> <p>Acute traumatic experiences can dysregulate the stress response.&nbsp; Early childhood development trauma (which is more chronic) can also do this.&nbsp; Developmental trauma occurs when there are a lot of stressors in early childhood during development of the nervous systems.&nbsp; The stress input from the environment at early ages lead to a learned stress reponse. We can say that the nervous system is adapted and thereby sensitized to the stressors.&nbsp; This dysregulated nervous system and stress response can lead to a dampened response or an excess response depending on stressor (and the learned response).&nbsp; &nbsp;This phenomenon is clearly evident and well documented in acute PTSD.&nbsp; &nbsp;The acute trauma can also trigger an inappropriate cortisol response and that leads to dysfunction in the hypothalamic-pituitary axis.&nbsp; It is becoming more apparent that same kind of thing can happen from low level repeated stressors in our bodies, in adulthood and more commonly early childhood development.&nbsp;&nbsp;</p> <p>In these cases the hormones from the pituitary can be measured in your blood.&nbsp; Measuring them can allow you to see that there are deficiencies.&nbsp; When it comes to overlooked causes of fatigue this is something that we see especially in post-traumatic stress disorder.&nbsp; Here is a link that goes int o more detail on <a href="https://www.researchgate.net/publication/296077512_Cortisol_and_the_Hypothalamic-Pituitary-Adrenal_Axis_in_PTSD">PTSD and HPA dysfunction</a>, if you are interested.&nbsp;</p> <p>This study shows clearly <a href="https://www.ncbi.nlm.nih.gov/books/NBK279070/">how that cortisol feeds back on the hypothalamus</a>. It also goes into a lot of detail it's a lot of biochemistry that is more recently being discovered and how all the feedback works.&nbsp; What it is shows is within the hypothalamus, there is the gonadotropin releasing hormone neuron.&nbsp; This neuron gets fed back on.&nbsp; This feedback is what causes the pituitary to produce FSH and LH.&nbsp; These hormones stimulate testosterone production in males and for females their estrogen and progesterone.&nbsp; We can see that things like stress can feedback and lead to a reduction in the amount of gonadotropin releasing hormone that is released.&nbsp; There are other things that can influence the feedback too like the actual hormones themselves, inflammation, drugs, metabolic things.&nbsp; The purpose of this is to show the relationship of stress on the axis.&nbsp; You can substitute corticotropin releasing hormone or thyroid releasing hormone here.&nbsp; We assume that the same types of feedback mechanisms are in place for all of these.&nbsp; With the difference being in the case of thyroid, it is&nbsp; neuron that stimulates the pituitary to produce TSH and is inhibited by thyroid hormone.</p> <p>&nbsp;</p> <h2>How Stress Causes Fatigue in Sensitized Individuals</h2> <p>The overall gist of it is that stress can have a negative impact on the amount of stimulation your glands are getting to then produce the appropriate amounts of hormones.&nbsp; Depending on how your stress response system is wired you may have an inappropriate amount of hormones being produced.&nbsp;</p> <p>If you think this might be happening to you, one of the things you would want to do is check all the pituitary hormones.&nbsp; Also look at the amount of hormones that are being produced from the end organs like cortisol, thyroid hormone, testosterone.&nbsp; If you are not producing large enough amounts of the pituitary hormone and there's also a small amount coming out of the glands themselves, it suggested a dysfunction axis.&nbsp; For instance, if you have low luteinizing hormone and low testosterone or low ACTH and low cortisol, suggests that some of this may be occurring.&nbsp; If this is the case, then you want to look more closely at your stress response.&nbsp; This is easier said than done but there are things you can do, medicines you can take to help that response.&nbsp;</p> <p>If you are someone that has ongoing fatigue that is one thing you should look at.&nbsp; A lot of people do have high stress levels but it's really about the stress response and how your systems are designed through development</p> <p>That should give you a better understanding of some overlooked hormone causes of fatigue.&nbsp; &nbsp;If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on how to overcome your fatigue, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <p>&nbsp;</p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Foverlooked-hormone-causes-of-fatigue&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> chronic fatigue Reasons for Fatigue depression chronic fatigue syndrome low energy levels cortisol Tue, 30 Aug 2022 17:30:00 GMT https://www.swintegrativemedicine.com/blog/overlooked-hormone-causes-of-fatigue 2022-08-30T17:30:00Z Dr. Robin Terranella Can Birth Control Mess Up Hormone Levels? https://www.swintegrativemedicine.com/blog/can-birth-control-mess-up-hormone-levels <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/can-birth-control-mess-up-hormone-levels" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/thought-catalog-psgqUnk8zvM-unsplash.jpg" alt="Can Birth Control Mess Up Hormone Levels?" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Are you wondering about the influence of birth control on your hormone levels? Maybe you recently started a birth control and you are having some&nbsp; side effects or problems.&nbsp; In this article we look at the question, <a href="https://www.swintegrativemedicine.com/blog/can-birth-control-make-you-gain-weight"><span style="font-weight: normal;">can birth control mess up hormone levels</span></a>.&nbsp; We look at some of the direct and indirect consequences of birth control on sex hormones.&nbsp; For instance, how long will it take for your natural hormone production come back after you stop birth control?</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p>Are you wondering about the influence of birth control on your hormone levels? Maybe you recently started a birth control and you are having some&nbsp; side effects or problems.&nbsp; In this article we look at the question, <a href="https://www.swintegrativemedicine.com/blog/can-birth-control-make-you-gain-weight"><span style="font-weight: normal;">can birth control mess up hormone levels</span></a>.&nbsp; We look at some of the direct and indirect consequences of birth control on sex hormones.&nbsp; For instance, how long will it take for your natural hormone production come back after you stop birth control?</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1280" height="720" src="https://www.youtube.com/embed/3jQGWzmWXQg" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p></p> <h2><span style="font-weight: bold;">Affect of Birth Control On Female Hormone Levels</span></h2> <p>Birth control definitely changes the amount of hormone levels that the female body produces.&nbsp; &nbsp;This is the main objective of birth control.&nbsp; &nbsp;In fact, the main way that birth control works is by inhibition of ovulation and follicular development.&nbsp; This then changes the output of estrogen and progesterone which are the main hormones that females produce.&nbsp; Because the birth control contains synthetic versions of the estrogen and progesterone, the body still gets a signal that these hormones are present.&nbsp; The synthetics are molecularly slightly different though.&nbsp; As a result, you may get an over stimulation or under stimulation in some tissues.&nbsp; This will vary slightly based on individuals response to the synthetic hormone signals.&nbsp;</p> <p>Some people do not respond well to a certain birth control because of how their bodies break them down and respond.&nbsp; Overall the way the body responds to birth control is not usually apparent on the tissue receptor level and how you feel.&nbsp; Of course, there are individual cases where people do not respond well to certain types of birth control.&nbsp; So yes there are <a href="https://www.swintegrativemedicine.com/are-your-hormones-in-balance">changes in the female hormones</a> and changes the hormonal signaling and production.&nbsp;</p> <p>&nbsp;</p> <h2 style="font-weight: bold;">Duration of Birth Control Changes</h2> <p>The hormonal changes can last for several months after stopping the birth control.&nbsp; One study looked at this specifically.&nbsp; They followed <a href="https://pubmed.ncbi.nlm.nih.gov/6242699/">hormone levels of women that were on birth control</a> and then stopped.&nbsp; The study found that luteinizing hormone and follicle stimulating hormone were much lower in the first month after stopping the birth control.&nbsp; By the third month, these levels were starting to climb back up again.&nbsp; Some women also had lower production of progesterone and estrogen in the mid cycle which corresponds with reduction of the luteinizing hormone and follicle stimulating hormone.&nbsp;&nbsp;</p> <p><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/thought-catalog-psgqUnk8zvM-unsplash.jpg?width=8796&amp;name=thought-catalog-psgqUnk8zvM-unsplash.jpg" alt="thought-catalog-psgqUnk8zvM-unsplash" width="8796" style="width: 8796px;"></p> <p>So when stopping birth control we expect that the hormone levels to rebound to pre birth control, in about three months.&nbsp; This study found that some women took longer than three months.&nbsp; Depending on which birth control you take, how your body responds, how sensitive you are, etc it may take longer than three months for your hormones to rebound.&nbsp; This is just one side of the question, can birth control mess up your hormone levels.&nbsp; The answer is, yes while you are taking them your hormone production will be altered.&nbsp; The other side is what about other hormones outside of the female hormones like testosterone and cortisol.&nbsp;</p> <p>&nbsp;</p> <h2><span style="font-weight: bold;">Affect of Birth Control On Testosterone and Cortisol Levels</span></h2> <p>&nbsp;It turns out when you are on birth control there are some other unintended hormonal effects on your body.&nbsp; These may account for some of the side effects that occur with birth control.&nbsp; For example, many studies have found that sex hormone binding globulin is much higher in females taking birth control.&nbsp; &nbsp;Sex hormone binding globulin (SHBG) binds to your hormones that are floating around.&nbsp; In particular, testosterone and estrogen.&nbsp; The amount of bound verses unbound hormones is referred to as the bioavailable of a hormone.&nbsp; Any estrogen or testosterone that your body produces can be be bound up.&nbsp; With high levels of SHBG birth control causes, testosterone and estrogen to be effectively very low.&nbsp; This leaves your overall libido and sex drive low too.&nbsp;&nbsp;</p> <p>It's also commonly known that birth control reduces the amount of overall testosterone output too.&nbsp; &nbsp;This occurs through the same kind of mechanism that's inhibiting the estrogen and progesterone.&nbsp; &nbsp;That is, the overall flow of hormones in the hormone cascade is decreased.&nbsp; The body still has a signal to make hormones but since some of the enzymes are blocked by the birth control, hormone production shifts into producing things like cortisol.&nbsp; &nbsp; Women on birth control will see much higher blood cortisol.&nbsp; That will have&nbsp; an effect on your overall stress response.&nbsp; The sex hormones are not being produced at the same abundance but you still have the synthetic versions to offset things at the tissue level.&nbsp; In exchange you have high cortisol and very little testosterone.&nbsp;</p> <p>When you start birth control some of the physiological hormone changes described above may account for those side effects&nbsp; you may experience.&nbsp; You have to weigh if the risk benefit ratio works out for you and what you need for your health right now.&nbsp;</p> <p>That should give you a better understanding of can birth control mess up hormone levels.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on balancing your hormone levels, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Fcan-birth-control-mess-up-hormone-levels&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> hormone imbalance bioidentical hormones Hormone Therapy birth control birth control side effects Fri, 05 Aug 2022 17:00:00 GMT https://www.swintegrativemedicine.com/blog/can-birth-control-mess-up-hormone-levels 2022-08-05T17:00:00Z Dr. Robin Terranella Common Causes Of Fatigue https://www.swintegrativemedicine.com/blog/common-causes-of-fatigue <div class="hs-featured-image-wrapper"> <a href="https://www.swintegrativemedicine.com/blog/common-causes-of-fatigue" title="" class="hs-featured-image-link"> <img src="https://www.swintegrativemedicine.com/hubfs/christian-erfurt-sxQz2VfoFBE-unsplash.jpg" alt="Common Causes Of Fatigue" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Are you dealing with ongoing fatigue and can't figure out what's going on with your body? Do you have decreased exercise tolerance, decreased motivation and decreased capacity to get things done?&nbsp; In this article, we break down some of the common causes of fatigue.&nbsp; We look at each system of your body and how they can contribute to fatigue.&nbsp; This will be a broad overview of the causes of fatigue.&nbsp; Subsequent article will look at more of the details on these common causes of fatigue.&nbsp;&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> </div> </div> </div> <p style="font-weight: bold;">If you want to know what the common causes of fatigue are, keep reading.&nbsp;</p> <p>Are you dealing with ongoing fatigue and can't figure out what's going on with your body? Do you have decreased exercise tolerance, decreased motivation and decreased capacity to get things done?&nbsp; In this article, we break down some of the common causes of fatigue.&nbsp; We look at each system of your body and how they can contribute to fatigue.&nbsp; This will be a broad overview of the causes of fatigue.&nbsp; Subsequent article will look at more of the details on these common causes of fatigue.&nbsp;&nbsp;</p> <div class="hs-embed-wrapper" style="position: relative; overflow: hidden; width: 100%; height: auto; padding: 0; max-width: 1280px; max-height: 720px; min-width: 256px; display: block; margin: auto;"> <div class="hs-embed-content-wrapper"> <div style="position: relative; overflow: hidden; max-width: 100%; padding-bottom: 56.25%; margin: 0px;"> <iframe frameborder="0" width="1280" height="720" src="https://www.youtube.com/embed/8QwfRlUhxs4" allowfullscreen style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; border: none;"></iframe> </div> </div> </div> <p style="font-weight: bold;">If you want to know what the common causes of fatigue are, keep reading.&nbsp;</p> <p></p> <h2>3 Main Causes of Fatigue</h2> <p>Fatigue is such a common cause for people to seek medical attention.&nbsp; Let's look at some of the <a href="https://www.swintegrativemedicine.com/blog/what-is-triggering-my-chronic-fatigue">common causes of fatigue</a> and categories of fatigue.&nbsp; We can put common causes of fatigue into three separate categories.&nbsp; The first cause is physiologic.&nbsp; With physiologic fatigue there is too much exertion and not enough rest. If you are working increased hours, doing heavy labor or moving or anything that your body is not used to, this can cause fatigue.&nbsp; This is usually short-lived.&nbsp; Once you rest enough or your body recovers enough that fatigue should go away.&nbsp; Another thing is maybe you are not sleeping or resting enough.&nbsp; Sometimes acute stress is interfering with your sleep, this can also cause fatigue.&nbsp; These are all examples of physiological causes of fatigue.</p> <p>Secondary cause of fatigue occur when there is something going on medically speaking like anemia or other physical things we can point to.&nbsp; These are well known causes of fatigue.&nbsp;</p> <p>The third type of fatigue is chronic fatigue.&nbsp; This is a type of fatigue that lasts longer than a few months.&nbsp; When your fatigue is present for up to six months without a cause being identified, you start to get the designation of chronic fatigue or <a href="https://www.swintegrativemedicine.com/blog/bid/155680/why-am-i-always-so-tired-do-i-have-chronic-fatigue-syndrome">Chronic Fatigue Syndrome</a>.&nbsp; Part of this diagnosis is multiple rounds of evaluation and diagnostic testing to rule out any known secondary causes of fatigue.&nbsp; If you go through the overall list and you are not able to find a secondary cause of fatigue,&nbsp; you are put into this chronic fatigue category.&nbsp; The problem is many times people don't get a thorough evaluation for all these secondary causes.&nbsp; Yes, they get a basic blood panel, a basic evaluation and questioning.&nbsp; If those are normal, this is the fall back diagnosis.&nbsp;</p> <p>I have personally had many patients with ongoing fatigue (6 or more months), diagnosed with chronic fatigue, where secondary causes are later identified.&nbsp; After looking at their blood tests in more detail, we find secondary causes of their fatigue.&nbsp; In these cases, they don't have chronic fatigue, they just have an underlying medical condition causing the fatigue.&nbsp; Of course, there are cases where it's not as clear and it does take long term investigation and treatment in order to relieve the fatigue.&nbsp; With all this in mind, I wanted to point out and give you an overview of some of those secondary causes of fatigue.&nbsp; This will give you some understanding of what to look for in yourself.&nbsp; These causes basically go through all the systems of your body looking for a cause.&nbsp;</p> <p><img src="https://www.swintegrativemedicine.com/hs-fs/hubfs/christian-erfurt-sxQz2VfoFBE-unsplash.jpg?width=4032&amp;name=christian-erfurt-sxQz2VfoFBE-unsplash.jpg" alt="christian-erfurt-sxQz2VfoFBE-unsplash" width="4032" style="width: 4032px;"></p> <h2>Common Secondary Causes of Fatigue</h2> <p>One of the main secondary causes of fatigue are endocrine issues and hormonal issues.&nbsp; If you have hypothyroid (not enough thyroid hormone), not enough cortisol, not enough female hormones, or male hormones, all these can definitely cause fatigue.&nbsp; Depending on your age that may be more or less likely.&nbsp;</p> <p>Diabetes can also cause fatigue.&nbsp; When your body is not getting the blood glucose it needs you will not be able to make energy.&nbsp; &nbsp;High insulin levels can also cause fatigue.&nbsp; There are many endocrine or hormone-related causes of fatigue.&nbsp;</p> <p>There is also anemia and vitamin deficiencies that can cause fatigue.&nbsp; Sometimes you may not even be actually anemic but you have low iron levels or low B12 levels.&nbsp; These can definitely cause fatigue.&nbsp; Also immune system problems and chronic infections can also be a problem.&nbsp; When you are acutely sick with an upper respiratory tract infection you don't really feel like doing much.&nbsp; This is a signal from your body telling you you need to rest which allows your immune system to fight it off.&nbsp; &nbsp;Sometimes people have chronic infections going on like urinary tract infection or problems&nbsp; deeper in their digestive tract.&nbsp; These things can cause ongoing fatigue but the fatigue may go away short term and then come back.&nbsp; This is an indicator that there's something going on with your immune system.&nbsp;</p> <p>Even cancer which is also related to your immune system, can cause fatigue.&nbsp; Autoimmune disorders like lupus and rheumatoid arthritis, because of the immune involvement, can also cause fatigue.&nbsp; It is the increased immune activity that causes your body to want to slow down to fight things off.&nbsp; In the case of autoimmune its fighting your own body but they are the same chemicals being produced that cause fatigue.</p> <p>There is, of course, psychological causes of fatigue too.&nbsp; Low motivation, lack of interest in doing things, lack of interest in the world, are all symptoms of depression.&nbsp; Mild mood disturbance or even more severe major depression can cause someone to feel more fatigued and have lack of energy to do things.&nbsp; With mood disorders and fatigue it's important to figure out which is causing which.&nbsp; Sometimes it's not clear but the low energy can definitely cause depression.&nbsp; It is also true that depression can sometimes manifest as low energy lack of interest.&nbsp; &nbsp;</p> <p>Sometimes mood disorders like anxiety can cause problems with sleep sleep disturbance and that can also lead to lack of energy.&nbsp; In this case the issue is an underlying chronic sleep disorder.&nbsp; With sleep problems sometimes people say they had sleep problems their whole life.&nbsp; If it's a long standing sleep issue where you only sleep six hours per night, this can be "normal."&nbsp; However, if onset of sleep disturbance correlates with your fatigue, then that's something you want to look at more carefully.</p> <p>Digestive disturbances whether it's an autoimmune type of digestive issue like irritable bowel disease like Crohn's or Colitis those things can definitely cause fatigue. There are also IBS-like symptoms, post-infectious IBS, SIBO, and other chronic digestive issues that can pull down your energy.&nbsp; For one reason you are not absorbing food and nutrients.&nbsp; Also the overall pain and discomfort can cause your mood to be disturbed and also lower your energy.</p> <p>When it comes to energy production, you need oxygen to be delivered to your tissues.&nbsp; Any cardiovascular problem can lead to a lack of oxygen deliver to the tissues.&nbsp; When your tissues are not getting have enough oxygen they cannot produce energy through oxidative phosphorylation.&nbsp; Oxidative phosphorylation is how our bodies generate energy.&nbsp; The same problems occur with chronic respiratory issue, like COPD and asthma.&nbsp; These can cause fatigue due to lack of oxygen being delivered to those tissues.&nbsp;</p> <p>This is just the tip of the iceberg look at causes of fatigue.&nbsp; There are much more in-depth and subtle things that can be going on in your body.&nbsp; That will be the focus of subsequent article.&nbsp;&nbsp;</p> <p>This should give you a better understanding of the common causes of fatigue.&nbsp; If you have questions about the content in this article, please ask it in the comment section below.</p> <p>If you want a customized plan on how to improve your energy or find the cause of your fatigue, click in the link below to get started.&nbsp;</p> <p><a class="cta_button" href="https://www.swintegrativemedicine.com/cs/ci/?pg=ab73c5a4-6cc2-47ae-89ec-692921a42cf5&amp;pid=119382&amp;ecid=&amp;hseid=&amp;hsic="><img class="hs-cta-img " style="border-width: 0px; /*hs-extra-styles*/; margin: 0 auto; display: block; margin-top: 20px; margin-bottom: 20px" alt="Schedule Your Free Consultation!" src="https://no-cache.hubspot.com/cta/default/119382/ab73c5a4-6cc2-47ae-89ec-692921a42cf5.png" align="middle"></a></p> <img src="https://track.hubspot.com/__ptq.gif?a=119382&amp;k=14&amp;r=https%3A%2F%2Fwww.swintegrativemedicine.com%2Fblog%2Fcommon-causes-of-fatigue&amp;bu=https%253A%252F%252Fwww.swintegrativemedicine.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "> chronic fatigue Reasons for Fatigue chronic fatigue syndrome low energy levels Thu, 21 Jul 2022 17:30:00 GMT https://www.swintegrativemedicine.com/blog/common-causes-of-fatigue 2022-07-21T17:30:00Z Dr. Robin Terranella